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Asia, which holds 60% of the world’s population, comprises some developing countries which are in economic transition. This paper reviews the epidemiology of stroke in South, East and South-East Asia. Data on the epidemiology of stroke in South, East, and South-East Asia were derived from the Global Burden of Disease study (mortality, disability-adjusted life-years [DALYs] lost because of stroke), World Health Organization (vascular risk factors in the community), and publications in PubMed (incidence, prevalence, subtypes, vascular risk factors among hospitalized stroke patients).
Age- and sex-standardized mortality is the lowest in Japan, and highest in Mongolia. Communitybased incidence data of only a few countries are available, with the lowest rates being observed in Malaysia, and the highest in Japan and Taiwan. The availability of prevalence data is higher than incidence data, but different study methods were used for case-finding, with different age bands. For DALYs, Japan has the lowest rates, and Mongolia the highest. For community, a high prevalence of hypertension is seen in Mongolia and Pakistan; diabetes mellitus in Papua New Guinea, Pakistan, and Mongolia; hypercholesterolemia in Japan, Singapore, and Brunei; inactivity in Malaysia; obesity in Brunei, Papua New Guinea, and Mongolia; tobacco smoking in Indonesia. Hypertension is the most frequent risk factor, followed by diabetes mellitus and smoking. Ischemic stroke occurs more frequently than hemorrhagic stroke, and subarachnoid hemorrhages are uncommon. There are variations in the stroke epidemiology between countries in South, East, and South-East Asia. Further research on stroke burden is required.
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참고문헌 (27)
참고문헌 신청
/ / World Health Organisation
Burke TA / 2006 / The epidemiology of stroke in the East Asian region: a literature-based review / Int J Stroke 1 : 208 ~ 215
Chang T / 2015 / Prevalence of stroke and its risk factors in urban Sri Lanka: population-based study / Stroke 46 : 2965 ~ 2968
Fang-I Hsieh / 2014 / Stroke: Morbidity, Risk Factors, and Care in Taiwan / 대한뇌졸중학회지 16 (2) : 59 ~ 64
Feigin VL / 2014 / Global and regional burden of stroke during 1990-2010: findings from the Global Burden of Disease Study 2010 / Lancet 383 : 245 ~ 254
Burke TA / 2006 / The epidemiology of stroke in the East Asian region: a literature-based review / Int J Stroke 1 : 208 ~ 215
Chang T / 2015 / Prevalence of stroke and its risk factors in urban Sri Lanka: population-based study / Stroke 46 : 2965 ~ 2968
Fang-I Hsieh / 2014 / Stroke: Morbidity, Risk Factors, and Care in Taiwan / 대한뇌졸중학회지 16 (2) : 59 ~ 64
Feigin VL / 2014 / Global and regional burden of stroke during 1990-2010: findings from the Global Burden of Disease Study 2010 / Lancet 383 : 245 ~ 254
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